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Rivard, Jeanne C.; Bloom, Sandra L.; Abramovitz, Robert; Pasquale, Lina E.; Duncan, Mariama; McCorkle, David; Gelman, Andrew

doi:10.1023/a:1021355727114

Cited by 56 publications

(11 citation statements)

References 27 publications

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“…It is therefore unlikely that the treatment needs of youth with histories of significant trauma exposure are being systematically addressed in residential care, particularly those with complex trauma histories. These gaps have led researchers and practitioners alike to advocate for the implementation and evaluation of trauma-informed interventions within residential treatment settings (e.g., Rivard et al, 2003).…”

mentioning

confidence: 99%

Trauma Exposure, Psychosocial Functioning, and Treatment Needs of Youth in Residential Care: Preliminary Findings from the NCTSN Core Data Set

Briggs

Greeson

Layne

et al. 2012

Journ Child Adol Trauma

164

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InitiativeGiven the high prevalence rates of trauma exposure in youth in residential treatment, evidence-based guidelines are needed to identify youth most likely to benefit from this setting. We examined trauma exposure, functional impairments, and treatment outcomes in a large clinical dataset. When compared to youth in nonresidential settings (n = 9,942), youth in residential settings (n = 525) reported both higher rates of trauma exposure across types and higher rates of impairments. Moreover, as the number of trauma types increased among youth in residential care, so did the rates of impairment. Pretreatment and post-treatment rates of impairment significantly decreased in both groups; however, nearly a third of the youth in residential care continued to manifest some impairment. Implications for practice, policy, and research are discussed.

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mentioning

confidence: 99%

Trauma Exposure, Psychosocial Functioning, and Treatment Needs of Youth in Residential Care: Preliminary Findings from the NCTSN Core Data Set

Briggs

Greeson

Layne

et al. 2012

Journ Child Adol Trauma

164

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“…Trauma-informed interventions in residential settings have tended to focus either on treating emotion and behavior dysregulation (see, for example, Habib et al 2013), or on teaching staff theoretical principles of the impact of trauma in order to create a trauma-informed milieu (Rivard et al 2003). A recent exception is the Attachment, Regulation and Competency (ARC) model, which adopts a systems-level approach to addressing the regulatory capacities of complexly traumatized youth in residential treatment settings (Hodgdon et al 2013).…”

mentioning

confidence: 99%

Trauma Systems Therapy in Residential Settings: Improving Emotion Regulation and the Social Environment of Traumatized Children and Youth in Congregate Care

et al. 2013

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Although abundant evidence exists indicating the prevalence of trauma exposure among youth in residential care, few models exist for creating trauma-informed milieu treatment. This article outlines the problem and describes the implementation of Trauma Systems Therapy (TST) in three residential centers. TST is unique in emphasizing youth emotions and behaviors as well as the role a distressed or threatening social environment may play in keeping a traumatized youth in a dysregulated state. This dual emphasis makes TST specifically appropriate to implementation in congregate care, focusing assessment and intervention strategies on both clinical treatment and the functioning of the therapeutic milieu itself. Data are reported on incidents of the use of physical restraint; numbers of disrupted foster care placements following discharge from residential treatment; and scores on psychometric measures of children’s functioning and emotion regulation capacity. Knowledge gained through TST implementation in these three residential centers has important implications for developing a model of trauma-informed congregate care.

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“…A small scale pilot study (n = 24) of the Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS: Habib, Labruna, & Newman, 2013) found young people made gains in anxiety, depression, physical complaints and prosocial behaviour and implementation of the Trauma and Grief Component Therapy for Adolescents (n = 77) and whole staff training using Think Trauma led to significant reductions in PTSD, depression and anger (Olafson et al, ). The Sanctuary model that focuses on developing trauma-sensitive milieu has also been found to increase institutional capacity to help young people focus on safety, manage emotion, and deal with loss (Rivard, Bloom, Mccorkle, & Abramovitz, 2005;Rivard et al, 2003). Ford and Bleustein (2013) conclude that compared to behaviour oriented approaches trauma-specific programmes appear to lead to better behaviour and mental health outcomes for young people in secure accommodation.…”

Section: Trauma-specific Programmes In Securementioning

confidence: 99%

Unit manager perspectives of a trauma-specific programme across Scotland’s secure estate

Barron

Mitchell

2017

Journal of Children’s Services

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Purpose The purpose of this paper is to assess unit manager perspectives on the introduction of a group-based trauma-specific programme delivered across Scotland’s secure estate. As this was the first time such an estate-wide initiative had occurred, it was important to identify the benefits/challenges at a strategic level. Design/methodology/approach An exploratory qualitative case study was utilised involving semi-structured interviews with five senior unit managers in three secure units to discover their perceptions of the benefits and challenges of implementing Teaching Recovery Techniques (TRT). A quasi-qualitative analysis was used to quantify and give meaning to manager responses. Inter-rater reliability of analysis was assessed. Findings Unit managers perceived gains in trauma-informed knowledge for themselves, and knowledge and skills gains for programme workers, care staff and adolescents. Challenges involved: managing a shift in paradigm to include a trauma-specific programme; the limiting context of competitive tendering; short duration placements; and the need for psychoeducation for staff, parents and agencies. Research limitations/implications Large sample sizes are likely to identify further issues for unit managers. Manager perceptions need directly compared with staff and adolescent perceptions and included in randomised control trials of trauma-specific programmes. Practical implications Managers perceived that TRT needed to be delivered within trauma-informed organisations and identified the need for manager training in traumatisation, trauma recovery and organisational implications to guide strategic planning. Managers emphasised the need for psychoeducation for families, staff and agencies. Originality/value The current study is the first in Scotland to explore unit manager experience of introducing a trauma-specific programme across the secure estate.

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Untitled

Cited by 56 publications

References 27 publications

Trauma Exposure, Psychosocial Functioning, and Treatment Needs of Youth in Residential Care: Preliminary Findings from the NCTSN Core Data Set

Trauma Exposure, Psychosocial Functioning, and Treatment Needs of Youth in Residential Care: Preliminary Findings from the NCTSN Core Data Set

Trauma Systems Therapy in Residential Settings: Improving Emotion Regulation and the Social Environment of Traumatized Children and Youth in Congregate Care

Unit manager perspectives of a trauma-specific programme across Scotland’s secure estate

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